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Individual
CLAYTON DENNING KILLPACK
Active
Individual
CLAYTON DENNING KILLPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
115334
MT
207L00000X
Anesthesiology Physician
Primary
4979083-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503296
—
NV
01
—
107027653101
IHC
UT
05
—
119676600
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
49790831200001
BCBS
UT
01
—
77516
PEHP
UT
05
—
806874300
—
ID
01
—
826031
HEALTHY U
UT
01
—
850808
DESERET MUTUAL
UT
05
—
859647
—
AZ
01
—
870545614KIL
EDUCATORS MUTUAL
UT
01
—
QM0000075886
ALTIUS
UT
01
—
TPRA09320
MOLINA
UT
Enumeration date
09/01/2006
Last updated
09/08/2022
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